South African Medical Journal (Jun 2023)

Ivermectin drug induced liver injury

  • Mark Sonderup,
  • Washington Mudini,
  • Wendy Spearman

Journal volume & issue
Vol. 113, no. 6

Abstract

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Ivermectin remains a popular, albeit unproven, therapy used in both the prevention and treatment of COVID-19. We discuss a patient who developed jaundice and a liver injury 3 weeks after initiating ivermectin for COVID prevention. Liver histology demonstrated a pattern of injury that was both portal and lobular, with a bile ductulitis as well with marked cholesasis. She was managed with low dose corticosteroids, later tapered and withdrawn. She remains well a year after presenting.

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